Active NPI
Lauren Chung Lu, PA-C
- Physician Assistant
- Costa Mesa, CA
National Provider Identifier
1851173884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63987
- Practice address
- 1650 Adams Ave
Costa Mesa, CA 92626-4958 - Phone
- (949) 270-2100
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63987 | CA | Primary |
Addresses
Primary practice location
1650 Adams Ave
Costa Mesa, CA 92626-4958
Mailing address
1650 Adams Ave
Costa Mesa, CA 92626-4958
Phone (949) 270-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63987 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients | |
| Share Our Selves Corporation | Current | Accepting new patients |
Locations
1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Share Our Selves Community Health Center
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1508073685
-
dba Share Our Selves Pharmacy
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1144717778
-
- Federally Qualified Health Center (FQHC)
- Mission Viejo, CA
- NPI 1629494398
-
- Federally Qualified Health Center (FQHC)
- Costa Mesa, CA
- NPI 1669258612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1851173884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 ADAMS AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264958",
"telephone_number": "949-270-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 ADAMS AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264958",
"telephone_number": "949-270-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "LAUREN",
"middle_name": "CHUNG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.